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NPI Code Detail

MEDICARE: CAROL S HASSE-JUNGKURTH CRNP

MEDICARE:   CAROL S HASSE-JUNGKURTH  CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LC0200XCritical Care Medicine Nurse PractitionerSP007196PA
2363LA2200XAdult Health Nurse PractitionerSP007196PA
3363LA2200XAdult Health Nurse PractitionerLP-0010464DE

General Provider Information

NPI Number : 1205937182
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL S HASSE-JUNGKURTH CRNP
Provider Business Mailing Address
First Line : 1072 JUSTISON ST
Second Line :
City : WILMINGTON
State : DE
Zip : 19801-5162
Country : US
Telephone Number : 23-660-3394
Fax Number : 302-421-6973
Provider Business Practice Location Address
First Line : 1072 JUSTISON ST
Second Line :
City : WILMINGTON
State : DE
Zip : 19801-5162
Country : US
Telephone Number : 302-666-3394
Fax Number : 302-421-6973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 03/07/2024

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